Table 1.

Health Care Facility and Shared Medical Appointment (SMA) Information

	Ann Arbor	Palo Alto*	Providence	Sacramento	West Haven
Fiscal year 2016: number‡ of type 2 diabetes seen in ambulatory care with eligible A1c	11,671	14,545	9017	9407	9367
Shared medical appointment (SMA) clinician team trained in motivational interviewing-based group facilitation and action planning18 19	Doctor of Pharmacy (PharmD) Registered Dietician (RD) Registered Nurse (RN) Medical Doctor (MD)† Licensed Practical Nurse (LPN)†	PharmD Health Behavior Coordinator (HBC) RD RN MD† Social Worker (SW)† Registered Nurse Practitioner (RNP)† Physical Therapist (PT)†	PharmD HBC MD RD RN	MD PharmD HBC RD	PharmD HBC RD RN MD†
Frequency of SMAs/cohort	Monthly	Biweekly	Biweekly	Weekly	Quarterly
# of SMAs/cohort	4	4	6	8	4
Duration of each SMA	2 h	2 h	1.5 h	1 h	2 h
Total SMA dose/cohort	8 h	8 h	9 h	8 h	8 h
Mean SMA cohort size	7.15	8.69	8.85	6.15	5.08
Range of SMA cohort size	5–10	5–13	5–11	3–19	2–10
All sessions include (1) review of participants’ vitals and labs; (2) action planning (goal setting) and discussion of each participant’s progress, challenges, strategies to meet action step and formulation of new step; and (3) prescriber holds brief individual sessions with each participant to review medications and make medication changes as necessary.‡	Yes	Yes	Yes	Yes	Yes
Group facilitation focused on creating patient-driven, interactive discussion among participants‡	Yes	Yes	Yes	Yes	Yes
Information and education on medications, blood pressure and lipid control, diet, exercise, stress management that is driven by participants' interests and questions‡	Yes	Yes	Yes	Yes	Yes

*Includes Palo Alto, Livermore, Fremont, and San Jose

†Occasional participant/guest speaker

‡To assess fidelity of SMA sessions across all sites, a trained research staff member attended all SMA sessions for a subset of cohorts at each site and completed a fidelity checklist